IDAHO ADVANCED MEDICAL CARE LLC
NPI 1487307468
Nurse Practitioner in Boise, ID

Q: What is Idaho Advanced Medical Care LLC's NPI number?

The NPI number for Idaho Advanced Medical Care LLC is 1487307468. It was assigned to this organization in the NPPES registry on January 31, 2022.

Q: What is Idaho Advanced Medical Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since January 31, 2022

13150 W PERSIMMON LN, BOISE, ID 83713(818) 915-4545 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Idaho Advanced Medical Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDAHO ADVANCED MEDICAL CARE LLC (NPI 1487307468) is a healthcare organization registered as a nurse practitioner in Boise, Idaho and active in the NPI registry since January 2022. The organization lists David Cooper, Owner, as its authorized official.

NPPES Registry Identity

NPI1487307468

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameIDAHO ADVANCED MEDICAL CARE LLC

Location Address13150 W PERSIMMON LNBoise, ID 83713-1986

Mailing Address13150 W Persimmon LnBoise, ID 83713-1986

Phone(818) 915-4545

Organization SubpartNo

Authorized OfficialDavid CooperOwner · (818) 915-4545

Enumeration DateJanuary 31, 2022

Last NPPES UpdateMarch 21, 2022

NPPES CertifiedFebruary 17, 2022

✔ NPI 1487307468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

13150 W PERSIMMON LN, Boise, ID 83713

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SL VISION PLLC

Optometrist (Vision Therapy)

13150 W PERSIMMON LN
BOISE, ID 83713

Ada County (208) 939-0510

CDE SERVICES

Clinic/Center

13150 W PERSIMMON LN
BOISE, ID 83713

Ada County (208) 965-0905

JALANE CHRISTENSON LMT

Massage Therapist

13150 W PERSIMMON LN
BOISE, ID 83713

Ada County (208) 519-2685

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idaho Advanced Medical Care LLC's NPI number?

The NPI number for Idaho Advanced Medical Care LLC is 1487307468. It was assigned to this organization in the NPPES registry on January 31, 2022.

Where is Idaho Advanced Medical Care LLC located?

Idaho Advanced Medical Care LLC is located at 13150 W Persimmon Ln, Boise, ID 83713. The listed phone number is (818) 915-4545.

What is Idaho Advanced Medical Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Idaho Advanced Medical Care LLC was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.